ATI LPN
Health Assessment in Nursing Practice Questions Questions
Question 1 of 5
On her 3rd postpartum day, a client complains of chills and aches. Her chart shows that she has had a temperature of 100.6°F (38.1°C) for the past 2 days. The nurse assesses foul-smelling, yellow lochia. What do these findings suggest?
Correct Answer: C
Rationale: Fever, chills, aches, and foul-smelling lochia suggest a localized postpartum infection (C), likely endometritis. Lochia alba (A) and serosa (B) are normal, and cervical laceration (D) wouldn’t cause systemic symptoms.
Question 2 of 5
Which is the primary consideration when preparing to administer thrombolytic therapy to a patient who is experiencing an acute myocardial infarction (MI)? (HAAD 2014)
Correct Answer: D
Rationale: Time since symptom onset (D) is critical for thrombolytic therapy, effective within 12 hours of MI onset. History (A), aspirin sensitivity (B), and MI specifics (C) are secondary.
Question 3 of 5
A client with a fluid volume deficit is receiving an I.V. infusion of dextrose 5% in water and lactated Ringer’s solution at 125 ml/hour. Which data collection finding indicates the need for additional I.V. fluids?
Correct Answer: D
Rationale: Dark amber urine (D) indicates concentrated urine from dehydration, suggesting more fluids are needed. Sodium 135 (A) is normal, 99.6°F (B) is mildly elevated, and neck vein distension (C) suggests fluid overload.
Question 4 of 5
Chronic alcoholic’s needs which of the following vitamins
Correct Answer: A
Rationale: Chronic alcoholics need thiamine (A) to prevent Wernicke’s encephalopathy due to poor absorption and diet. Other vitamins (B, C, D) are less critical acutely.
Question 5 of 5
A client with a myocardial infarction and cardiogenic shock is placed on an intra-aortic balloon pump (IABP). If the device is functioning properly, the balloon inflates when the:
Correct Answer: C
Rationale: The IABP inflates during diastole when the aortic valve is closed (C), aiding coronary perfusion and reducing afterload.